Abstract

ROLE OF CHORIOAMNIONITIS ON PERINATAL OUTCOME IN PREGNANT WOMEN WITH PLACENTAL ABRUPTION

Dr. Hamdiyah Azeez Ali*, Dr. Batool Abdulwahid Hashim and Dr. Auras Adil Hatem

ABSTRACT

The placenta is a fetomaternal organ, the functional unit of which is the fetal cotyledon. The etiology of placental abruption is yet to be precisely determined, but it's thought to be a disease of decidua and uterine blood vessels. Several conditions continued to be associated with abruption. This study aims: To confirm the association between histological chorioamnionitis and placental abruption and to study the risk factors that cause placental abruption in our population. Methods: This study is a prospective case observation study of 152 patients carried out at the labor room of AL-Zahraa Teaching hospital in AL-Najaf city attachment to Kufa University Dept. of Gynecology and obstetric from 1st March to the end of November 2013. All patients were more than 24 weeks, with abdominal pain, vaginal bleeding or bloodstain liquor with intact or rupture fetal amniotic membrane, and excluded placenta previa and cervicitis. placental abruption is one of the most important causes of maternal morbidity and prenatal mortality. Maternal risks: Include obstetric haemorrhage, need for blood transfusion, emergency hysterectomy. Prenatal: Consequences include preterm delivery, low birth weight, low APGAR score, stillborn and prenatal death. Conclusion: anaemia was the most risk factor, histological diagnosis of placental abruption was weak, and preterm placental abruption was more common with chorioamnionitis than term.

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